Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,091.91 / $7,862.92 / $18,711.00	Facility		$1,091.91	$7,862.92	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $510.42 / $849.00 / $849.00	Facility	AS	$510.42	$849.00	$849.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $626.60 / $1,266.57 / $3,280.24	Facility		$626.60	$1,266.57	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $824.30 / $1,110.85 / $1,194.60	Facility		$824.30	$1,110.85	$1,194.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $791.84 / $814.83 / $2,961.46	Facility		$791.84	$814.83	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,006.61 / $9,172.83 / $17,546.59	Facility		$7,006.61	$9,172.83	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,853.00 / $3,600.00 / $19,271.00	Facility		$2,853.00	$3,600.00	$19,271.00